SANDRA QUINTERO (NPI# 1023431863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023431863 |
| Entity Type | Individual |
| Full Name | SANDRA QUINTERO |
| Practice Address |
11616 Lake Underhill Rd Suite 215 Orlando FL 32825-4463 |
| Practice Telephone | 4074827788 |
| Practice Fax Number | 3212358328 |
| Mailing Telephone | 4074827788 |
| Mailing Fax Number | 3212358328 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME105350 | FL | Other Service Providers |
| N | 174400000X | Specialist | ME113836 | FL | Other Service Providers |
| N | 174400000X | Specialist | ME54751 | FL | Other Service Providers |
| Y | 174400000X | Specialist | ME85171 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000962800 | 05 | |
| FL | MEDICARE | AD890 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407832942 | Sandra M Quintero | Internal Medicine | 100 Simsbury Rd, Suite 203, Avon, CT 06001-3793 | 2005-12-16 |
| Street Address |
11616 LAKE UNDERHILL RD SUITE 215 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825-4463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962470468 | Dva Renal Healthcare Inc | Clinic/Center | 11616 Lake Underhill Rd, Ste 206, Orlando, FL 32825-4466 | 2006-03-09 |
| 1912302431 | Michael Herringshaw | Nurse Practitioner | 11616 Lake Underhill Rd, Ste 215, Orlando, FL 32825 | 2014-10-27 |
| 1447689203 | Center for Individualized Medicine and Age Management, Inc | Family Medicine | 11616 Lake Underhill Rd, Ste 205, Orlando, FL 32825-4463 | 2013-11-02 |
| 1174958771 | Donna Lynn Jones | Registered Nurse | 11616 Lake Underhill Rd, Orlando, FL 32825-4463 | 2013-09-13 |
| 1457695520 | Joann Mordenti | Physician Assistant | 11616 Lake Underhill Rd, Suite 215, Orlando, FL 32825-4463 | 2012-11-15 |
| 1982729109 | Matthew Andrew Shlapack | Internal Medicine | 11616 Lake Underhill Rd, Orlando, FL 32825-4463 | 2007-03-20 |
| 1093735615 | Mildred Donis Silva | Family Medicine | 11616 Lake Underhill Rd, Suite 205, Orlando, FL 32825-4463 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
| 1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
| 1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
| 1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
| 1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
| 1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
| 1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
| Find all providers in zip 32825 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1063982338 | Carmelo Baez | Specialist | 4700 Millenia Blvd Ste 175-601, Orlando, FL 32839-6013 | 2018-11-29 |
| 1245748052 | Integrative Physical Medicine of Metro West LLC | Specialist | 1743 Park Center Dr Ste 200, Orlando, FL 32835-7621 | 2018-01-15 |
| 1033651971 | Lake Family Practice | Specialist | 1317 N Pine Hills Rd, Orlando, FL 32808-4833 | 2016-11-09 |
| 1104297670 | Latrisha Catrell Grant | Specialist | 6463 Livewood Oaks Dr, Orlando, FL 32818-2735 | 2015-10-09 |
| 1437531308 | Jsk Jsn LLC | Specialist | 14807 E Colonial Dr, Suite 112, Orlando, FL 32826-5122 | 2015-06-26 |
| 1295117372 | Brent Lawson Barker | Specialist | 4166 Oak St, Orlando, FL 32814-6133 | 2015-06-24 |
| 1003212861 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 401 W Colonial Dr, Suite 3b, Orlando, FL 32804-6830 | 2014-11-06 |
| 1609278597 | Sand Lake Cancer Center, Pa | Specialist | 7301 Stonerock Cir Ste 2, Orlando, FL 32819-8004 | 2014-09-23 |
| 1598164451 | Onsite Medical Group LLC | Specialist | 3200 W Colonial Dr, Orlando, FL 32808-8023 | 2014-08-17 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on SANDRA QUINTERO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.